In this series, Dr Howie Gluckman talks about the important of soft tissue around implants. He discusses the different methods to manipulate and create ideal soft tissue around implants and also discusses restorative factors to create ideal emergence profiles
Part 1. Creating ideal soft tissue around implants Part 1
Aims and Objectives of Part 1
- Understand why we need good soft tissue outcomes around implants.
- Understand the importance of soft tissue integration in implants.
- Understand what is needed for a healthy implant in terms of hard and soft tissue.
- Techniques on creation of ideal soft tissue profiles around implants, ideal attached gingivae around implants and papillae management.
- Tips on microsurgical techniques and suturing choices.
- CTgraft with immediate implant placement.
- CTgraft with exposure.
- The infold technique.
Part 2. Creating ideal soft tissue around implants Part 2
Aims and objectives of Part 2
- Attached gingivae and its importance.
- Techniques to gain attached gingivae.
- Techniques on managing papillae and maintain papillary height.
- Creating customised abutments and provisional crown shapes to maintain good soft tissue height and contour.
Part 3. Correct soft tissue defects around implants
Aims and objectives of Part 3
- Understand how to deal with:
- Buccal recession
- Buccal palatal collapse
- Loss of papillae
- Lack of attached gingivae
- Understand the aetiology resulting in soft tissue defects around implants.
- Understand how to deal with early implant exposure.
Part 4. Techniques for harvesting connective tissue
Aims and objectives of Part 4
- Understand the anatomical considerations for raising CT grafts.
- Understand the various techniques including full thickness, Zuchelli technique and the Free gingival graft.
- Advantages and disadvantages comparing free gingival grafts and CT grafts.
Part 5. Hands on demonstrations
Aims and Objectives for Part 5
In this video, Dr Gluckman demonstrates 4 soft tissue procedures:
- How to get a free gingival graft
- How to create attached gingivae using a split-thickness flap
- The pouch technique for the connective tissue graft
Aims and objectives:
- An insight and demonstration about each of the above four procedures
- Gain an insight into the split thickness flap design
- An insight into raising tissue from the palate
- Tips and insight into suturing techniques for each of the above procedures